Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $89.13 / $134.90	Facility		$40.74	$89.13	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $12.88	Professional		$10.00	$12.02	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $19.95	Professional		$13.18	$13.18	$19.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $17.78	Professional		$16.98	$16.98	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $20.89	Professional		$14.79	$17.78	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $19.95	Professional		$12.88	$12.88	$19.95